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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5388 IUL U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN FOR USE OF OFFICIALS SEARCHING IMMI- NATURALIZATION SERVICE GRATION RECORDS CLERK OF COURT: 48561 RECORDS EXAMINED Place number in CARD INDEX upper left-hand corner of all copies of INDEX BOOKS meaning NATURALIZATION SERVIOL declaration, immediately under your RECBIVEL declaration number. JUL 9 1928 DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS DISTRICI DIRECTOR BOSTON MASS DEPAINMENT Cati LABOR 7 1920 I desire to file my Declaration of Intention (first paper) to become a citizen. My name is Mrs. Jannie) Genorious Bats age, the years. (Alien should print or typewrite here true, original, and correct/name) (Give age last birthday) My present occupation is Housewife My personal description is: Color, White complexion; height, 5 feet 2 inches; weight, 136 pounds; color of hair, Lightbrowns color of eyes, Nazel ; other visible distinctive marks: none I was born in Orechov, (City of town) Javrichuckoy Russia (Country) on the 18th day of February , 1595 My present residence is 57 (Number and street) (City Newhouday town) (County) newhondous (State) Conns Bindenstreet or The place where I took the ship or train which landed me in the United States was Bremen, Germany on June (Month) 21, y 1923 (Day) (I ear) The name of the ship or railroad on which I came was President filmore My last place of foreign residence was Rozawka Russia (City or town) (Country) I am married. yes The of name my is Samuel Katz was born at Dunilovitch Polandi husband and now said357 resides at new london, He Come I am now a subject of and intend to renounce allegiance to (Write name and title of sovereign and country of which now a subject; foriek Russia or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of Boston 8-18 massachunette (City or town) (State or territory) , on July@2923. 14-81 (Give exact monthydayyand-year) (OVER) 1

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5388\nIUL\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT: 48561\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\nINDEX BOOKS\nmeaning\nNATURALIZATION SERVIOL\ndeclaration, immediately under your\nRECBIVEL\ndeclaration number.\nJUL 9 1928\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nDISTRICI DIRECTOR\nBOSTON MASS\nDEPAINMENT Cati LABOR\n7 1920\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMy name is\nMrs.\nJannie) Genorious Bats\nage, the\nyears.\n(Alien should print or typewrite here true, original, and correct/name)\n(Give age last birthday)\nMy present occupation is Housewife\nMy personal description is: Color, White complexion; height, 5 feet 2 inches;\nweight, 136 pounds; color of hair, Lightbrowns color of eyes, Nazel\n;\nother visible distinctive marks: none\nI was\nborn in Orechov, (City of town) Javrichuckoy\nRussia\n(Country)\non the 18th day of February\n, 1595\nMy present residence is 57 (Number and street) (City Newhouday town) (County) newhondous (State) Conns\nBindenstreet\nor\nThe place where I took the ship or train which landed me in the United States was\nBremen, Germany\non June (Month)\n21,\ny\n1923\n(Day)\n(I ear)\nThe name of the ship or railroad on which I came was President filmore\nMy last place of foreign residence was\nRozawka\nRussia\n(City or town)\n(Country)\nI am\nmarried. yes The of\nname my\nis Samuel Katz\nwas born at\nDunilovitch Polandi husband and now said357 resides at new london, He Come\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nforiek Russia\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nBoston\n8-18\nmassachunette\n(City or town)\n(State or territory)\n, on July@2923. 14-81 (Give exact monthydayyand-year)\n(OVER)\n1"
}